Finding innovative solutions to a community’s health needs

“Hello. My name’s Joan Tipping and I’m chair of the North Manchester Health Forum. Thank you all for coming.”

I don’t know much about Joan’s work. I thought coming to today’s Community Conference on Dementia would be a good way of finding out.

Before everyone had found their way to this community room in Manchester Communication Academy I sat down with a coffee and biscuit and introduced myself to one of the delegates.

“I’m writing about Joan because she’s a member of a local group working with Forever Manchester,” I had said to dementia specialist, Alpa Riga. It turns out that Alpa used to work with Joan in the local health trust.

“She’s now moved into the voluntary sector,” Alpa explained, “and she manages the Wellbeing Centre in Harpurhey. The centre is really influential and Joan is always up for piloting fresh ideas.”

“She’s quite a remarkable force then?”

“She is, yes, absolutely. She’s always taking on innovative new work and she’s currently looking at what the community needs in terms of dementia support.”

Joan is now telling her audience of health professionals, community representatives and carers how the Wellbeing Centre is trying to make their area more dementia-friendly. “And then, hopefully, that will spread out to other communities too,” she says.

“The reason we’re having this conference is to respond to people’s needs in a community way.”

How refreshing: listen to local people, hear what they need and tailor local services to meet those needs. Even better, support the community in finding their own, long-term solutions. It seems Joan has cottoned onto this approach long ago.

“In 1999, we set up the guided walks because people wanted a safe way of taking exercise. Those walks still happen every Tuesday afternoon. Next we set up Heart Beat, for those who had suffered a heart attack and had nowhere locally to exercise. That’s still going strong every Monday.”

Now Joan has her sights on supporting dementia sufferers and their carers.

She next introduces Dr Ruth Thompson, a Manchester GP and commissioner of mental health services, who gives us an overview on dementia. “1 in 3 of the over-65s will have dementia,” she says, “and 1 in 3 of us will be involved with caring with someone living with dementia.”

Which all sounds fairly depressing. “But it’s an exciting time for dementia research,” Ruth continues. “The government is committed to finding a cure by 2025 and has invested £250 million into research.”

Ruth sets an upbeat tone and tells us that Manchester has some money for innovative ways of supporting dementia sufferers. This has got to be good news for people like Joan who can put it to good use.

As Ruth rushes off, back to do her clinic, Anthony Bradley from Everyday People takes the floor. Like Joan, Anthony sits on the Local Reference Group, advising Forever Manchester how to allocate the Fourteen funding.

Joan has invited him to talk about the reminiscence work he does with older people.

“We go into sheltered schemes, residential homes and community groups where we try to facilitate stronger relationships,” he explains. “Those relationships are the key to tackling social isolation which is the cause of much ill health.”

Anthony explains that music is a powerful tool in his work. “Yesterday we played songs from the musicals, from Evita, and a few of the ladies started crying.

“At the end of the session they thanked me because the music had evoked certain emotions which they felt safe to express in that environment.”

It’s all fascinating stuff and, as I pack up my things at the mid-morning break, I make a note to chat to Joan in the coming weeks about her dementia work in this community.

“If I hadn’t got this, there’d be nothing.”

“What do people get out of being in this group?” I ask Barbara.

“You’ll have to ask them,” she says. “But what I can tell you is, we don’t lose anybody. They come back week after week.”

“How long have you been going to the group?” I ask Trevor.

He sucks in his cheeks. “About four years. I came first and then Denise followed on,” he says. “I came to get away from my problems and she followed me!”

“He loves me really, don’t you?” says Denise, prodding her husband.

“Oh aye, yeah.”

“I thought I’d just come for a week, that was three years ago,” continues Denise. “I do suffer from depression and this takes my mind off it. It’s better than sitting in the house. I need something to keep me occupied. If I hadn’t got this, there’d be nothing.”

There are dozens of places like this across Manchester, thousands across the country. Small groups, surviving on next-to-no money, supported by selfless volunteers. Their compassion towards those with poor mental health or low income seems at odds with a bigger picture of insensitive cuts and austerity.

It’s difficult, probably impossible, to measure the savings these small groups make to the statutory services.

A weekly card-making session with this group of friends could mean Denise doesn’t tip up at the GP as often as she might.

“We do rely on funding,” says Barbara, “Most people here are on benefits or low income. We charge £2 for the day but that won’t cover the rent or the materials.I’m strict about using top quality materials because I want people to be proud of what they’ve made.

“Through the Fourteen programme Forever Manchester helped us out last year with running costs. We were able to buy lots of new materials.”

Barbara’s been on the Local Reference Group (LRG) for a couple of years now. It’s a sort of self help group as part of the Fourteen programme to support community groups in Harpurhey and Moston.

“It’s become like a little family,” says Barbara. “We’re very supportive of each other and we’ve  expanded now as more people have joined us.”

“Do you feel a sense of connection with other people because of the LRG?” I ask.

“Oh yes. We’ve learnt lots about what else is going on. Although we’ve never felt isolated. Lou here at The Miners has been very good to us and,” – she nods in the direction of Broadhurst Park – “FC United have been very supportive as well.”

I take my tape recorder around the table again. “What about you Ann? How important is this group for you?”

“Most of my neighbours are either very old or have young families,” she says. “There’s no one my age.  So this gets me out of the house, seeing somebody, talking to somebody. Sometimes I can open the front door and realise it hasn’t been unlocked for the past three days.”

Here’s the Facebook page for Barbara’s Creative Community group

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The crafts group that’s all about wellbeing

There are nine today, sitting around a square of tables, heads down, making cards.

“We usually have more,” says Barbara as I settle myself into an empty chair, “but four are poorly with chest infections.”

We’re in the community room at The Miners in Moston, the hub of all things creative in this part of town and an increasingly important venue for the local estate and beyond.

Barbara Shaw has been voluntarily running her Creative Community craft sessions for nearly five years now. I scribble everyone’s name down as she introduces me to her group.

There’s Jean and Marie. And Kath ‘with a K’ clicking her knitting needles together as the others sponge pastel colours onto their artwork. Cath ‘with a C’ is the newest member of the group, recently moved from Moss Side to be near her daughter.

And then there’s Dawn and Ann, ‘without an e’ followed by Denise and her husband Trevor. “With a T,” says Trevor.

“So what do you actually do?” I ask.

“We make handmade greeting cards,” says Barbara, “and Kath teaches knitting to those who would rather knit.”

“I haven’t got the patience for all the fiddly bits,” says Kath, still clicking, “so I knit… and talk.”

“We do a lot of talking,” laughs Marie.

In amongst the cutting and sticking, daubing and dabbing, there’s a lot of laughter and banter in this group. I’m not sure how the discussion about parking on pavements started but everyone throws in their two penneth. Next it’s Joe Pasquale.

Originally from Portsmouth Barbara trained as a psychiatric nurse but later moved into community education. She worked at the Abraham Moss Centre and spent some years driving the Cheetham community bus. “So I’ve always worked with people and the community,” she tells me.

Later she moved back into psychiatric work, this time using craft with the long-term mentally-ill. The sticking and the cutting built self-esteem amongst her clientele and Barbara encouraged many of them into further education or employment.

With cuts to mental health services, Barbara’s group was shut down. Undeterred but convinced of the value of art therapy, she set up a new group, as a volunteer, that expanded into the wider community.

“So now we have an activity group where there is an understanding of mental health. If you have a mental health problem and want to talk about it then fair enough, but you don’t have to. Do you need a sponge for that, Cath?”

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